How to stop heavy menstrual bleeding with clots

Clots can form when blood collects in the uterus and leaves the body quickly. Their presence does not identify one diagnosis by itself. Heavy periods may occur with adenomyosis, endometrial hyperplasia, endometrial polyps, perimenopause, polycystic ovary syndrome or uterine fibroids.

Tell a clinician about the size and frequency of clots, how long the heavy flow lasts, and whether you have cramps, pelvic pressure or bleeding between periods. Ongoing blood loss can contribute to iron deficiency anaemia, with symptoms such as tiredness, dizziness or breathlessness.

Record each bleeding day, changes of protection, clots and associated symptoms. Arrange a review when the pattern is new, worsening or affecting work, sleep or daily tasks. A clinician may ask about medicines, pregnancy possibility and family history, then select examinations or blood tests based on your symptoms.

Rest and drink regularly while arranging care. Ask before using pain relief or iron supplements, particularly if you take anticoagulants, have stomach or kidney problems, or may be pregnant. Do not insert anything into the vagina to try to remove clots.

Seek urgent care for rapidly soaking protection, faintness, severe weakness, breathlessness, chest pain, severe pelvic pain or a possible pregnancy. Prompt review is also needed for fever, unusual discharge, bleeding after sex or bleeding outside the expected period.

Ask what may be driving the heavy flow, whether you need a blood count or iron check, and which medicines are safe with your current treatment. Ask how to track clots and when to return if the bleeding does not settle.